<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20260802070489N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2026-08-11</date_registration>
      <primary_sponsor>Khayyam University</primary_sponsor>
      <public_title>Investigating the effectiveness of cognitive-behavioral stress management training on occupational and individual variables</public_title>
      <acronym>CBT-SM</acronym>
      <scientific_title>The effectiveness of cognitive-behavioral stress management training on employees' psychological well-being, self-efficacy, job stress, and intolerance of uncertainty</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2026-08-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>30</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/92203</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: The randomization process will be carried out using a simple randomization method. A pre-prepared table of random numbers—consisting of a completely random set of numbers with no discernible pattern or order—will be used for this purpose. Participants will be assigned numerical codes based on this table and allocated to one of two groups according to the parity of the number (even or odd); specifically, even numbers will be assigned to the intervention group, and odd numbers to the control group, Blinding description: This study will employ a single-blind design. Consequently, participants will remain unaware of the study's primary objective, the hypotheses under investigation, and their specific group assignments. All participants will receive only general information regarding the study procedures, and the true nature of the experimental manipulation will not be disclosed until data collection is complete.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Job stress.</hc_freetext>
      <i_freetext>Intervention 1: Intervention Group: The stress management training protocol consists of eight 90-minute sessions, held weekly over a period of eight weeks. The session content is based on standard stress management protocols, cognitive-behavioral techniques, and relaxation skills training, encompassing progressive muscle relaxation, diaphragmatic breathing, mental imagery, cognitive restructuring, self-relaxation, and coping strategies. Training Session Protocol: Session 1: Introductions, outlining group goals and rules, and instruction on the concept of stress, its consequences, and progressive muscle relaxation. Session 2: Reviewing homework, exploring the link between thoughts and emotions, identifying negative thoughts, and practicing relaxation. Session 3: Instruction on diaphragmatic breathing and mental imagery, and an introduction to cognitive restructuring. Session 4: Practicing relaxation techniques, learning about cognitive distortions, and identifying maladaptive thoughts. Session 5: Self-relaxation training, the difference between rational and irrational self-talk, and thought-replacement exercises. Session 6: Reinforcing self-relaxation, teaching effective coping strategies, and analyzing stress-coping methods. Session 7: Integrating relaxation techniques with adaptive coping strategies and teaching positive self-talk. Session 8: Summarizing the material, reviewing exercises, emphasizing the continued use of skills, and administering the post-test. Intervention 2: Control group: Participants received no educational or therapeutic intervention during the study.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
Some potentially relevant data related to the primary outcome can be shared after de-identification of individuals.

When:
The access period will begin 6 months after publication of the results

To whom:
Data will only be accessible to researchers affiliated with academic and scientific institutions

Conditions:
Any further analysis of the delivered data is not permitted

Where to obtain:
n.kaabomeir@binaloud.ac.ir

How to obtain:
After the applicant sends an email to the corresponding author and the request is reviewed, the data file will be made available

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mohadeseh Nezhadbagheripoor</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Khayyam University, Falahi 1, Shahid Motahari Square, Shahid Rafiee Boulevard, Imam Ali Expressway, Mashhad</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9189747178</zip>
        <telephone>00985135156</telephone>
        <email>info@khayyam.ac.ir</email>
        <affiliation>Khayyam University</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Noori Kaabomeir</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Moallem 4 St., Torghabeh Blvd</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9351991949</zip>
        <telephone>+98 51 3423 0563</telephone>
        <email>n.kaabomeir@binaloud.ac.ir</email>
        <affiliation>Binaloud Institute of Higher Education</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Scoring above 40 on the Girdano Job Stress Questionnaire
Aged between 30 and 50 years
Basic literacy skills (reading and writing) sufficient for participating in training sessions and completing study instruments
Informed consent to participate in research</inclusion_criteria>
      <agemin>30 years</agemin>
      <agemax>50 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Presence of a severe psychiatric disorder based on self-report or clinical referral
Receiving any psychiatric or psychological treatment in the past six months
Receiving training in life skills and stress management
History of drug abuse or alcohol dependence</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>Z56.6</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Other physical and mental strain related to work</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Lifestyle</i_code>
      <i_code>Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention Group: The stress management training protocol consists of eight 90-minute sessions, held weekly over a period of eight weeks. The session content is based on standard stress management protocols, cognitive-behavioral techniques, and relaxation skills training, encompassing progressive muscle relaxation, diaphragmatic breathing, mental imagery, cognitive restructuring, self-relaxation, and coping strategies. Training Session Protocol: Session 1: Introductions, outlining group goals and rules, and instruction on the concept of stress, its consequences, and progressive muscle relaxation. Session 2: Reviewing homework, exploring the link between thoughts and emotions, identifying negative thoughts, and practicing relaxation. Session 3: Instruction on diaphragmatic breathing and mental imagery, and an introduction to cognitive restructuring. Session 4: Practicing relaxation techniques, learning about cognitive distortions, and identifying maladaptive thoughts. Session 5: Self-relaxation training, the difference between rational and irrational self-talk, and thought-replacement exercises. Session 6: Reinforcing self-relaxation, teaching effective coping strategies, and analyzing stress-coping methods. Session 7: Integrating relaxation techniques with adaptive coping strategies and teaching positive self-talk. Session 8: Summarizing the material, reviewing exercises, emphasizing the continued use of skills, and administering the post-test.</i_keyword>
      <i_keyword>Control group: Participants received no educational or therapeutic intervention during the study.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Psychological well-being. Timepoint: Before the intervention and after the completion of the intervention. Method of measurement: Psychological Well-Being Questionnaire.</prim_outcome>
      <prim_outcome>Self-efficacy. Timepoint: Before the intervention and  after the completion of the intervention. Method of measurement: Self-Efficacy Scale.</prim_outcome>
      <prim_outcome>Intolerance of uncertainty. Timepoint: Before the intervention and  after the completion of the intervention. Method of measurement: Intolerance of Uncertainty Scale.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Khayyam University</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2025-06-09</approval_date>
        <contact_name>Research Ethics Committees of Khayyam University</contact_name>
        <contact_address>Khayyam University, Falahi 1, Shahid Motahari Square, Shahid Rafiee Boulevard, Imam Ali Expressway, Mashhad Mashhad Razavi Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
